Become A Member Membership is OPEN now for the year 2024-2025. Currently we have Early Bird Membership Prices on-going. Please enable JavaScript in your browser to complete this form.Early Bird Membership is OPENED for 2024-2025. Type of Membership *Membership TypeFamily Member - $ 340.00Individual Member - $ 200.00Patron Member - $ 390.00Grand Patron Member - $ 500.00Member's InformationThis information is required to enter you into our member database.Name *FirstLastDate of Birth (mm/dd/yyyy)Email *EmailConfirm EmailMobile PhoneMember's Spouse InformationNote: If spouse information is not provided, all email communications will only be sent to the primary email addressSpouse NameFirstLastSpouse Date of Birth (mm/dd/yyyy)Spouse EmailSpouse PhoneNumber of ChildrenNote: Children 18 yrs and above need individual membership.Under 10 yrs *-- Please choose an option --012345Between 10 -17 yrs *-- Please choose an option --012345AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHow do you prefer to be contacted? (Select all that apply)EmailPhoneText messageBangla-O-Biswa operates through members volunteering their skills. How are you able to help?Puja ActivitiesSocial mediaPR and public imagePlanning eventsAdministrativeManaging budgets and fundsTechnologyCultural ProgramsMaintaining websitesNo VolunteeringSelect all that applyHow did you hear about us? (Select all that apply)From a current or past memberAttended a event in the communityWebsiteSocial MediaOtherOther (please specify):PayPal/Venmo FeesPrice: $ 7.40PayPal/Venmo FeesPrice: $ 4.56PayPal?Venmo FeesPrice: $ 8.41PayPal/Venmo Fees Price: $ 10.65Total$ 0.00Terms and Conditions *Constitution: As a member, you hereby agree to abide by the BoB Constitution. Privacy Notice: As a member, you are hereby granting permission to Bangla-O-Biswa Executive Committee and Board of Trustees to use your information for BoB related communications only. Your information will not be shared with any other individuals or organizations.How would you like to pay? *Pay with PayPalVenmoVenmo Payment Pay with Venmo Username: @banglaobiswa or scan the below code: Was your Venmo Payment successful? *YesNoWhat is your Venmo Username? *Payment Date *In MM/DD/YYYYProceed
